Free Healthcare Professional Agreement Layout

This Agreement is made on [Date], by and between:

• Healthcare Organization: [Your Company Name], [Your Company Address].

• Healthcare Professional: [Insert Name], residing at [Insert Address].

1. PURPOSE

This Agreement establishes the terms and conditions under which the Healthcare Professional provides services to the Healthcare Organization.

2. TERMS OF AGREEMENT

• 2.1 Duration:
  This Agreement begins on [Start Date] and continues until [End Date] unless terminated earlier as outlined below.

• 2.2 Scope of Services:
  The Healthcare Professional agrees to provide the following services:

  • [Detail Service 1]

  • [Detail Service 2]

3. RESPONSIBILITIES

• 3.1 Healthcare Professional:

  • Maintain proper licensure, certifications, and credentials.

  • Comply with all legal, ethical, and organizational standards.

  • Submit reports/documentation as required.

• 3.2 Healthcare Organization:

  • Provide necessary resources and tools for service delivery.

  • Ensure access to facilities and patients.

  • Compensate as agreed below.

4. COMPENSATION

• 4.1 Payment Terms:
  The Healthcare Organization agrees to compensate the Healthcare Professional as follows:

  • [Hourly/Flat Rate/Other Payment Method]: [Insert Details].

  • Payment will be made [Weekly/Monthly/Upon Completion], via [Method of Payment].

• 4.2 Taxes and Benefits:
  The Healthcare Professional is responsible for all applicable taxes. This Agreement does not establish an employer-employee relationship; thus, benefits will not be provided.

5. CONFIDENTIALITY

• 5.1 Patient Information:
  Both parties agree to maintain the confidentiality of all patient-related information as required by law, including HIPAA regulations.

• 5.2 Organizational Information:
  The Healthcare Professional agrees not to disclose any proprietary information of the Healthcare Organization.

6. TERMINATION

• 6.1 By Either Party:
  This Agreement may be terminated with [Number] days’ written notice by either party.

• 6.2 For Cause:
  The Healthcare Organization may terminate immediately if the Healthcare Professional fails to meet licensure, breaches confidentiality, or violates organizational policies.

7. DISPUTE RESOLUTION

• 7.1 Mediation:
  Any dispute arising under this Agreement will first be subject to mediation.

• 7.2 Governing Law:
  This Agreement is governed by the laws of [State/Country].

8. GENERAL PROVISIONS

• 8.1 Entire Agreement:
  This Agreement constitutes the entire understanding between the parties.

• 8.2 Amendments:
  Changes to this Agreement must be made in writing and signed by both parties.

SIGNATURES

By signing below, both parties agree to the terms of this Agreement:

Healthcare Organization Representative
Name: _________________________
Signature: ______________________
Date: ___________________________

Healthcare Professional
Name: _________________________
Signature: ______________________
Date: ___________________________

Agreement Templates @ Template.net